Duke Health Medical Records Release

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Get Your Medical Records from Duke Health Duke Health

(6 days ago) WebUse one of the following methods to submit the request for medical records. Email : [email protected]. Fax: 919-620-5165. Mail: Release of Information. Duke University Health System. P.O. Box 3016. Durham, NC 27710. Customer Service: 919 …

https://www.dukehealth.org:443/medical-records/get-medical-records-from-duke

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Records and Privacy Duke University Hospital Duke Health

(5 days ago) WebRelease of Information Duke University Health System P.O. Box 3016 Durham, NC 27710. Customer Service: 919-684-1700. We are open Monday – Friday 8:00 am to 4:30 pm. …

https://www.dukehealth.org:443/hospitals/duke-university-hospital/records-and-privacy

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Instructions for Completing the Authorization for Release of

(6 days ago) WebYou will also need to submit. death certificate with the affidavit. Mail, E-mail, or Fax a copy of the Authorization to the following address: Mail: Duke University Hospital – …

https://physicians.dukehealth.org:443/sites/default/files/page/2019-04-01_duke_health_authorization_instructions.pdf

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Instructions for Completing the Authorization for Release of

(4 days ago) WebThis section tells us what information or records you would like us to release. 5. Indicate the treatment dates to be released. If none selected, the last 2 years of active …

https://www.dukehealth.org:443/sites/default/files/2019-04-01_duke_health_authorization_instructions.pdf

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Medical Records and Forms Duke Fertility Center

(1 days ago) WebDuke Fertility Center. 5601 Arringdon Park Dr. Suite 210. Morrisville, NC 27560-5643. e-mail: [email protected]. For records and information regarding treatment, lab …

https://dukefertilitycenter.org:443/patient-information/medical-records-and-forms

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Send Your Medical Records to Duke Health Duke Health

(7 days ago) WebIf you are going to mail the records, use a trackable courier, such as FedEx or UPS. We do not recommend using the U.S. Postal Service because packages can’t be tracked, but …

https://www.dukehealth.org:443/medical-records/send-your-medical-records-duke

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AUTHORIZATION FOR RELEASE OF INFORMATION - Duke …

(8 days ago) WebI specifically approve the release of the following information that has been marked as sensitive and/or restricted (check all that apply): Mental and Behavioral …

https://www.dukehealth.org:443/sites/default/files/2019-04-01_duke_health_authorization_for_release_of_information.pdf

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Authorization for Release of Medical Records - Urgent Care …

(1 days ago) WebI understand that my medical records may contain information about but not limited to: alcohol and/or drug treatment, mental health or psychiatric, and/or HIV/AIDS …

https://www.dukecityurgentcare.com:443/wp-content/uploads/2019/04/4ea1d195-0f1e-3f28-6a8b-00003ded0fb9_medical-release-authorization-form.pdf

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Medical Records Access Hackensack Meridian Health

(5 days ago) WebTo request access to or copies of your medical records or our authorization to release information form, please call one of the following telephone numbers: Bayshore Medical …

https://www.hackensackmeridianhealth.org:443/en/patients-and-visitors/medical-records

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My Duke Health Duke Health

(3 days ago) WebContact Us. If you have any questions about My Duke Health, please call Duke Customer Service at 919-620-4555 or 800-782-6945 between 8:00 am - 5:00 pm ET Monday, …

https://www.dukehealth.org:443/duke-mychart

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Receiving Electronic Health Information Duke Health

(9 days ago) WebThe 21st Century Cures Act is a federal law that requires a patient’s electronic health information be released as soon as it is available. This means that delays that were part …

https://www.dukehealth.org:443/curesact

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Records and Privacy Duke Children's Hospital Duke Health

(Just Now) WebHours: 8:00 am – 4:30 pm. You may also fill out the written authorization and mail it to: Duke University Hospital. Health Information Management. Release of Information. PO Box …

https://www.dukehealth.org:443/hospitals/duke-childrens-hospital/records-privacy

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AUTHORIZATION TO RELEASE MEDICAL RECORDS AT DUKE …

(2 days ago) WebAUTHORIZATION TO RELEASE MEDICAL RECORDS AT DUKE RALEIGH HOSPITAL* If mailing this form, please send to: Duke Raleigh Hospital c/o Health Information …

https://www.dukehealth.org:443/sites/default/files/authorization_to_protected_health_information_-_duke_raleigh_hospital_english.pdf

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AUTHORIZATION FOR RELEASE OF INFORMATION - Duke …

(1 days ago) WebSEND COMPLETED FORM TO: [email protected]; Fax: 919-620-5165 Duke University Hospital - HIM, DUMC Box 3016, Durham, NC 27710; For Questions Call: 919 …

https://www.dukehealth.org:443/sites/default/files/M3-13-21AuthorizationtoReleaseProtectedHealthInformation.pdf

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AUTHORIZATION FOR RELEASE OF INFORMATION - Duke …

(5 days ago) WebSEND COMPLETED FORM TO: [email protected]; Fax: 919-620-5165 OR Duke University Hospital - HIM, DUMC Box 3016, Durham, NC 27710; For Questions Call: 919 …

https://www.dukehealth.org:443/sites/default/files/general_page/M3132AuthorizationforReleaseofInformation_Rev%20202312_V2.pdf

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REQUEST FOR EXTERNAL RECORDS - Duke Health

(8 days ago) WebRequest for External Records PART A: PATIENT INFORMATION Patient Name: Phone: Email: Address: Date of Birth: SS# (last 4 digits): Duke Health Medical Record #: Duke …

https://www.dukehealth.org:443/sites/default/files/general_page/M20UP%20045%20Request%20for%20External%20Records_1.pdf

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Electronic Medical Record Authorization - 12 to 17 Years of Age

(1 days ago) WebThe purpose of this form is to permit a Duke Health patient between 12-17 years of age and the patient’s attending provider to authorize a DHE Provider who is a …

https://www.dukehealth.org:443/sites/default/files/mc_access_authorization_12-17_9.5.2019_final_0.pdf

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VERBAL RELEASE OF INFORMATION AUTHORIZATION - Duke …

(9 days ago) WebDuke University Hospital - HIM P.O. Box 3016 Durham, NC 27710; For Questions Call: 919-684-1700. Rev. 6/19. VERBAL RELEASE OF INFORMATION AUTHORIZATION Patient …

https://www.dukehealth.org:443/sites/default/files/general_page/M20UP%20044%20Verbal%20ROI%20Authorization%20Form_0.pdf

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